Get Captive Actuary Application

Completing the Captive Actuary Application online is a straightforward process that ensures compliance with regulations set forth by the Oklahoma Insurance Department. This guide will provide you with clear, step-by-step instructions to help you navigate the application effortlessly.

Follow the steps to complete the Captive Actuary Application online.

1. Press the ‘Get Form’ button to access the Captive Actuary Application form and open it in your preferred editing tool.
2. Begin with your full legal name and ensure it is accurately entered where indicated.
3. Input your residence address as requested to establish your current location for the records.
4. Fill in your date of birth and social security number as necessary for identification purposes.
5. Detail your educational background, listing all institutions attended, including high school, college, and any graduate or professional degrees. Clearly indicate your major area of concentration and any actuarial exams completed.
6. Select and list any professional societies or associations of which you are a member.
7. Provide your current chief occupation including position or title, duration at the job, employer name, mailing address, email address, and length of employment.
8. Outline any concurrent jobs, positions, directorships, or officer roles you currently hold.
9. Detail your complete employment record for the past 20 years, including dates, employer name and address, and title.
10. Indicate your experience with property and casualty loss reserve and loss expense reserves.
11. List the Oklahoma captive account(s) you are certifying as required.
12. Check the applicable qualification boxes to confirm your eligibility to sign statements of opinion on loss and loss adjustment expense reserves.
13. Read and certify that you understand and will comply with all provisions of the Captive Insurance Company Act.
14. Sign and date the application before submitting it, and ensure the form is notarized as required.

Start completing your documents online for a smooth application process.